Individual
INAS KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
1523 PORTCHESTER CASTLE PATH, PFLUGERVILLE, TX 78660-4454
(916) 756-7147
Mailing address
1523 PORTCHESTER CASTLE PATH, PFLUGERVILLE, TX 78660-4454
(916) 756-7147
(512) 381-4275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301112992
MI
246ZC0007X
Surgical Assistant
Primary
SA000858
TX
Other
Enumeration date
07/03/2017
Last updated
02/27/2023
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